Rodolà F, Vagnoni S, D'Avolio S, Vurchio M, Micci D, Chierichini A, Vergari A, Ciano F
Istituto di Anestesiologia e Rianimazione, Catholic University of Sacred Heart, Rome, Italy.
Eur Rev Med Pharmacol Sci. 2001 Jul-Aug;5(4):143-6.
Shoulder surgery is very often followed by severe postoperative pain. Loco-regional anaesthesia has greatly contributed as a solution of this problem. Nevertheless most of surgery is still performed under general anaesthesia. In this case many different methods have been proposed in order to mitigate postoperative pain. Intra-articular administration of local anaesthetics after shoulder surgery is not yet in routinely clinical practice. In this study efficacy of intra-articular administration of Ropivacaine versus Bupivacaine has been evaluated. Analysis of results showed both drugs to share the same effectiveness within four hours postoperatively. In subsequent period (6-24 hours) Ropivacaine demonstrated to provide a statistically significant better postoperative pain relief. Furthermore Ropivacaine group patients needed postoperative analgesics to a lesser extent than Bupivacaine group. The long-losting satisfactory level of analgesia, particularly with Ropivacaine, could recommend the use of intra-articular analgesia even for day-hospital or one-day surgery procedures.
肩部手术后常常会出现严重的术后疼痛。局部区域麻醉作为解决这一问题的方法发挥了很大作用。然而，大多数肩部手术仍在全身麻醉下进行。在这种情况下，人们提出了许多不同的方法来减轻术后疼痛。肩部手术后关节腔内注射局部麻醉药尚未成为常规临床实践。在本研究中，评估了罗哌卡因与布比卡因关节腔内注射的疗效。结果分析表明，两种药物在术后4小时内具有相同的有效性。在随后的时期（6 - 24小时），罗哌卡因显示出在统计学上能提供更好的术后疼痛缓解效果。此外，罗哌卡因组患者术后所需镇痛药的剂量比布比卡因组少。尤其是罗哌卡因，其长时间令人满意的镇痛效果，甚至对于日间手术或一日手术程序，也可推荐使用关节腔内镇痛。
